A nurse is working on a pediatric cardiology unit and has four patients, each with a different congenital heart defect. Match the congenital heart defect with the correct hemodynamic classification.

Choice A rationale:

Refeeding any thrust out food to the baby is incorrect as it increases the risk of choking and aspiration. Parents should discard food that the baby has pushed out to prevent potential harm.

Choice B rationale:

Avoiding the use of skin lubricants on the baby is appropriate as these products might irritate the baby's sensitive skin.

Choice C rationale:

Suctioning the baby's nose before feedings is important to ensure proper breathing and effective feeding, especially in infants with Down Syndrome who may have nasal congestion.

Choice D rationale:

Using minimal soap when bathing the baby is appropriate to prevent skin irritation. Babies have delicate skin, and excessive soap can lead to dryness and discomfort.

Choice A rationale:

Examining for the presence of any flexion of the hips when the infant is lying on the abdomen is a method to assess for Ortolani and Barlow signs, which indicate hip dislocation, not hip dysplasia.

Choice B rationale:

Extension of the legs while stimulating the stepping reflex is a normal developmental response and is not specific to hip dysplasia.

Choice C rationale:

The Babinski reflex is related to neurological development and not directly linked to hip dysplasia.

Choice D rationale:

Asymmetrical gluteal folds and unequal leg length are common findings in congenital hip dysplasia. Hip dysplasia involves improper formation of the hip joint, leading to instability and deformity of the hip socket, which can result in these physical characteristics.